Balantic, Kathleen M
Balantic, Kathleen M is an individual health care provider with primary practice located at 75 Eastern Point Rd , Groton CT 06340-4905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Balantic, Kathleen M can be contacted via phone (860) 833-9390.Contact Information
Primary practice address
75 Eastern Point Rd
Groton CT 06340-4905
Phone: (860) 833-9390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 6429 | Connecticut |
Profile Details
| NPI number | 1568525921 |
|---|---|
| LBN Legal business name | Balantic, Kathleen M |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | May 26th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568525921 | NPPES |
| Connecticut | MEDICAID | 004190302 | |
| Connecticut | Other | 050001247CT01 |
Popular Providers
-
Walters, Natalie
1145 Poquonnock Rd , Groton CT 06340-4620 -
Perry, Amy Marie
109 Bee St , Charleston SC 29401-5703 -
Noonan, Alicia M
75 Eastern Point Rd Dept 644 Bldg 78A, Groton CT 06340-4905 -
Myers, Jacqueline M
618 Pleasantville Rd Suite 202, Lancaster OH 43130-3312 -
Servage, Bonnie L
53-59 Public Sq Ste 301, Watertown NY 13601-2674 -
Kirton, Carl Anthony
1 Gustave L Levy Pl , New York NY 10029-6500 -
Kamlani, Elizabeth T
575 Winnepoge Dr , Fairfield CT 06825-2562 -
Myers, Jennifer C
4921 Parkview Pl Dept Radiation Oncology, Ll, Saint Louis MO 63110-1032